Active NPI 1871508937 Individual Practitioner Male Practitioner

Dr. Semyon Gambarin , MD

Surgery • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Semyon Gambarin, MD is a certified Surgery practicing in Austin, TX. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Gambarin delivers high-quality medical care to the local community at 6811 AUSTIN CENTER BLVD # 300.

Dr. Gambarin is affiliated with Austin Regional Clinic Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, biopsy of large bowel using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6811 Austin Center Blvd # 300

Austin, TX 787313166

Telephone 5123468888

Fax 5123440335

Associated Practice Facility / Clinic

🏢 Austin Regional Clinic, Pa Facility NPI 1659858454

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +4.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

153 Specialists

Practicing in Austin, TX (2342 Statewide)

Telehealth Adoption Rate

12.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gambarin (28 Years) 28 Yrs

Austin Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$134.00	$72.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$199.33	$110.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$295.00	$164.44
45380 Biopsy of large bowel using an endoscope	34	34	$934.00	$131.42
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$168.00	$86.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$1054.00	$246.28
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$662.00	$178.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$662.00	$174.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$238.00	$124.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$103.00	$55.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$813.00	$77.07
49650 Repair of groin hernia using an endoscope	12	12	$1010.33	$469.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$134.00	$73.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$295.00	$164.15
45380 Biopsy of large bowel using an endoscope	48	48	$934.00	$133.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$194.00	$112.57
99213 Established patient office or other outpatient visit, typically 15 minutes	46	42	$168.00	$90.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	36	36	$662.00	$179.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$1054.00	$247.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$103.00	$55.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$238.00	$128.58
49650 Repair of groin hernia using an endoscope	20	20	$1169.10	$481.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$813.00	$72.88
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$662.00	$179.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$134.00	$73.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$194.00	$110.91
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$168.00	$91.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$295.00	$166.01
45380 Biopsy of large bowel using an endoscope	41	41	$934.00	$118.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$1054.00	$247.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$238.00	$126.23
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$662.00	$182.02
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$813.00	$70.65
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$662.00	$181.78
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$791.00	$174.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	115	107	$45.00	$25.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	115	107	$134.00	$75.00
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$134.00	$75.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$194.00	$113.29
99213 Established patient office or other outpatient visit, typically 15 minutes	57	51	$141.39	$94.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$295.00	$170.17
45380 Biopsy of large bowel using an endoscope	49	49	$934.00	$145.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$1054.00	$257.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$204.88	$130.88
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$79.00	$58.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$702.78	$71.60
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$791.00	$187.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$87.00	$55.89
49650 Repair of groin hernia using an endoscope	14	14	$855.00	$374.21
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$671.92	$188.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$194.00	$110.96
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	49	44	$134.00	$100.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	48	46	$70.00	$51.31
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$131.00	$74.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$295.00	$168.82
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$134.00	$78.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$1054.00	$263.52
45380 Biopsy of large bowel using an endoscope	35	34	$934.00	$150.10
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$791.00	$191.38
99441 Telephone medical discussion with physician, 5-10 minutes	17	15	$79.00	$47.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$689.00	$77.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$79.00	$45.64
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	14	14	$62.00	$5.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$192.00	$106.67
49650 Repair of groin hernia using an endoscope	14	14	$912.00	$434.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	89	89	$134.00	$76.62
45378 Diagnostic exam of large bowel using a flexible endoscope	60	60	$791.00	$188.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$295.00	$161.16
99213 Established patient office or other outpatient visit, typically 15 minutes	47	47	$131.00	$71.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$194.00	$106.13
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	35	35	$62.00	$5.60
45380 Biopsy of large bowel using an endoscope	31	31	$934.00	$177.35
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1054.00	$264.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$689.00	$84.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$192.00	$106.91
49650 Repair of groin hernia using an endoscope	12	12	$1197.00	$454.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$134.00	$75.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$295.00	$162.40
45378 Diagnostic exam of large bowel using a flexible endoscope	45	45	$791.00	$187.69
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	38	38	$62.00	$5.52
45380 Biopsy of large bowel using an endoscope	34	34	$934.00	$178.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$192.00	$105.58
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$131.00	$73.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$194.00	$107.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$689.00	$80.25
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1054.00	$249.07
49650 Repair of groin hernia using an endoscope	11	11	$1088.18	$487.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$295.00	$159.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$192.00	$106.20
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$134.00	$74.85
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$791.00	$182.75
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	28	28	$62.00	$5.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$194.00	$105.24
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$131.00	$73.06
45380 Biopsy of large bowel using an endoscope	20	20	$934.00	$158.40

Medical Specialties & State Licenses

CMS Verified: 2021-05-20

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L6388

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

P00004603 (TX)

Medicaid State Provider ID

158094604 (TX)

Medicaid State Provider ID

158094602 (TX)

Medicaid State Provider ID

158094601 (TX)

Hospital & Practice Group Affiliations

Austin Regional Clinic Pa

6818 Austin Ctr Blvd, Austin, TX 787313199

Phone: 5123461994

Austin Regional Clinic Pa

151 Exchange Blvd, Hutto, TX 786345381

Phone: 5128461244

Austin Regional Clinic Pa

4100 Everett, Kyle, TX 786406147

Phone: 5122951333

Austin Regional Clinic Pa

12221 N Mopac Expy, Austin, TX 787582401

Phone: 5129011000

Austin Regional Clinic Pa

6835 Austin Ctr Blvd, Austin, TX 787313166

Phone: 5123466611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Dr. Kevin O'farrell , MD

Surgery

NPI 1003822362

Doctor of Medicine (M.D.)

Dr. Robert Williamson , MD

Otolaryngology

NPI 1013929017

Doctor of Medicine (M.D.)

Dr. Vikas Godhania , DPM

Podiatrist

NPI 1043225105

Doctor of Podiatric Medicine

Dr. Jay Viernes , MD

Dermatology

NPI 1053399477

Doctor of Medicine (M.D.)

Dr. Kent Jones , MD

Otolaryngology

NPI 1124034491

Doctor of Medicine (M.D.)

Dr. Kristen Hansen-Peterman , MD

Obstetrics & Gynecology

NPI 1134135486

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address May 20, 2021

Registered at 6210 E HIGHWAY 290, AUSTIN, TX 787231144 (Tel: 5124078686)

✅

NPI Profile Active December 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 17, 2010

Registered at 6811 AUSTIN CENTER BLVD # 300, AUSTIN, TX 787313166 (Tel: 5123468888)

📍

Updated Business Mailing Address December 17, 2010

Registered at PO BOX 26726, AUSTIN, TX 787550726 (Tel: 5124078686)

👤

Provider Name / Credentials Updated December 17, 2010

Recorded as SEMYON GAMBARIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2010

Surgery (License #L6388 in TX)

🟢

Initial NPI Registration & Enumeration July 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871508937

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2006

Last Update: May 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6210 E Highway 290

Austin, TX 787231144

Phone: 5124078686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.